1980, 01-04 Permit: 80A-9784 Garage, Carport?LAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
S®, A\A1 -2H P ciAct9 2.. bi(c?
LOT BLOCK dwrAlt J I
PHONE
3.
4' ADDRESS
OWNER
- VALE
ADDRES 92 I A-\/�C Lop,' I IC `1
C ��Rp�CT,OR
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S .z 7
ZIP
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
7.
TYPE
OF
WORK
❑ N w ❑ ALT.
D. ❑ PLMB.
PHONE
ZIP
PHONE
ZIP
TO
k7 AD'N.
❑ MECH:
DE CRIBE WORK
8.
VA�UATIOND
9. 5
70
Source
of
Utilities
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
615 x moo)
GAS
❑ OTHER
Required Set Backs in Feet I/�
North .- South
Size of Parcel
x I;
East 3,- 'West
Zone Classificati
Ty e Const. Occupancy
Ai +� I
V luation
'i, 1 CSC 0
DWL Area I Basement Area
IIL- %.
Sprinklered
❑Yes �No ❑ Req'd.
'Building Area in Sq. Ft.
Garage Area
e
Split Entry
Split Level
No. Baths
No. Floors
No. Rooms
Storage
Rancher
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
ELECTRIC
WATER
A
SEWER
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state ,lo�/alcal law regulating construction or the
SIGNATURE X4/1/1;
SPECIAL APPROVALS
DEPT. REQ'D.
Env. Health
REC'D.
i't_
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DAT
APPROVED FOR ISSUANC
Recd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
7 Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
k A 78'f
DATE %- 3 -"Yo
02* *50.00
*5000
*50,006
E *000 8
9722
01 -02 -80
2 6479.
97842
01 -04 -80
6479,
H
.— W
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1- 04'='80 978.42 *50.0,0
' - •
RECORD OF INSPECTIONS
DATE REMARKS
Final Inspection
INSPECTED BY
J _
9i�
* C
* 2 c 0 0 5:
4 2 0 0 1,- 01
* 2 0 0 0
SKETCH SHEET ynigrd
THIS SHEET FORMS A PART OF REPORT OR SURVEY OF:
ADDRESS
VikeiNeleVi Lntii L: • 'g/ 5 Ave74e2ry tr
DATE POLICY NUMBER
LOT 4 //v Mounimi 14 Co/ 4714 X,DI>17-zy..7/11
p N 14,1,orie
--- c'7
A ealeo Amcor.' ./CP
(202%3. cirvf
1'
M
5 r C
S rr4
r .
-o
1 PoOK .cbc
1a094 407 tree&
5-i•-• /5' --+` 34 I's jg
861 f
/ Lf1t I'ON 12-71
/0 4.14
X rbS1"
4T 1) .2/ 7— k..)/v ti/.3 . 5 - 19/„/) 7
ted 27 - 9794
3?!.
/b
S/2/11);,11
VtL u/V
3 6 V; • A
23
—1
$C/?E Xes
T